Evidence Based Medicine: If Only The Emperor Had Clothes

Evidence based medicine is the politically correct thinking in the healthcare profession.  If you are not on this train, you had better keep your thoughts to yourself. I ask the simple question, when has medicine not been evidence based? The philosophy is evidence based medicine is rooted in current research. What is not stated is…

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Does The Role Of the Primary Care Provider Need Changing??

I find myself thinking about the changing role of the primary care provider (PCP).  What will the role be as the healthcare landscape changes?  Do you PCPs feel their roles are changing?  Does the role need revamping? As a nurse practitioner, I have always had the highest regard for the PCP role.  Most of my…

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Conversations With Danielle, Caregiver and Social Worker

Danielle is the caregiver for a client of mine.  She calls me often to sometimes just chat and other times to vent about her frustrations with the healthcare system.  She has spent the last four years assisting her partner receive the care he needs.  It hasn’t been easy at times.  Her partner has needed multiple…

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An Advocate’s Tale: Lessons From My Clients

Yesterday I spent the day with Allan while he got his chemotherapy and steroid infusion at his oncologist’s office.  The office has a large separate designated infusion room with 10 semi comfortable recliners.  Once a week Allan goes for his steroid infusion and monthly also receives chemotherapy.  The chemo day takes  six hours or more.…

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The Illogic of MD thinking toward NPs

As a nurse practitioner, I just don’t understand the AMA’s resistance to the role.  The research certainly shows people are not dying at the hands of NPs and that quality of care and safety is not an issue.  The most recent major evidence based document verified the research on nurse practitioners. The AMA repeatedly and…

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The Advocate and Privacy

Health is a very private matter.  Health information is handled differently by everyone, especially a new diagnosis.  Some people tell everyone while others may keep to themselves or only tell their immediate family.  There is no standard for how to respond.  It is personal. The internet offers loads of websites with personal descriptions, experiences and…

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